DR. SUMA SHAH (NPI# 1053654699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053654699 |
| Entity Type | Individual |
| Full Name | DR. SUMA SHAH |
| Other Name | SUMA DAS |
| Credential | M.D. |
| Practice Address |
2301 Erwin Rd Durham NC 27705 |
| Mailing Address |
2301 Erwin Rd Durham NC 27705-4699 |
| Practice Telephone | 9196848111 |
| Mailing Telephone | 9196848111 |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2017-01041 | NC | Allopathic & Osteopathic Physicians |
| Street Address |
2301 ERWIN RD |
| City | DURHAM |
| State | NC |
| Zip Code | 27705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326045857 | Duke University Health System, Inc. | Psychiatric Unit | 2301 Erwin Rd, Durham, NC 27705-4699 | 2005-06-30 |
| 1669073854 | Courtney Whitmore Jensen | Genetic Counselor, MS | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-04 |
| 1114528429 | Nicholas Tricarico | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-11-03 |
| 1164021788 | Wen Chian Ouyang | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-23 |
| 1447857529 | Christopher O'neal Fry | Nurse Anesthetist, Certified Registered | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-02 |
| 1932706140 | Ariane Cook | Physician Assistant | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-10-01 |
| 1801403795 | Shannon Marie Vannasane | Anesthesiology | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-25 |
| 1396352233 | Olivia Delpizzo | Registered Nurse | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-24 |
| 1619583051 | Colin Sauter | Physical Therapist | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-21 |
| 1962017111 | Anna Bueton | Nurse Practitioner | 2301 Erwin Rd, Durham, NC 27705-4699 | 2020-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811343676 | William T Coleman | Psychiatry & Neurology | 1315 Morreene Rd, Durham, NC 27705-4524 | 2016-05-11 |
| 1982041778 | Tristin Alix Allen | Psychiatry & Neurology | Dumc 3403, Durham, NC 27710-6878 | 2013-06-03 |
| 1881958460 | Christian Hernandez | Psychiatry & Neurology | Duke Medicine Pavillion, Durham, NC 27710-0001 | 2012-06-28 |
| 1265798631 | Sneha Mantri | Psychiatry & Neurology | 932 Morreene Rd # 3333, Durham, NC 27705 | 2012-04-10 |
| 1114219367 | Margaret Olga Johnson | Psychiatry & Neurology | The Preston Robert Tisch Brain Center At, 047 Baker House, Trent Drive, Durham, NC 27710-4206 | 2011-05-06 |
| 1851556096 | Andrew Robert Spector | Psychiatry & Neurology | 234 Crooked Creek Pkwy Ste 420, Durham, NC 27713-8507 | 2008-07-28 |
| 1730347618 | Michael Sawa | Psychiatry & Neurology | Dumc 3403, Trent Drive, Clinic 1l, Room 1255, Durham, NC 27705 | 2008-05-28 |
| 1992975528 | Jodi Jane Hawes | Psychiatry & Neurology | Box 2905, Durham, NC 27710-0001 | 2008-03-11 |
| 1992919567 | Tung Thanh Tran | Psychiatry & Neurology | 315 Trent Dr, Dumc 102350, Durham, NC 27710-3038 | 2007-05-10 |
| 1003943390 | James O. Mcnamara | Psychiatry & Neurology | Dumc 3209, Durham, NC 27710-0001 | 2007-02-27 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.